Submit Artwork

Children’s Miracle Network (CMN) Hospitals in Southeast Texas is collecting works of art from local pediatric patients. Artwork submitted will be used to create calendars, Christmas cards, thank-you cards, and more! These creations will be available for community members to purchase as a fundraiser for sick and injured kids in local CMN hospitals. If your artwork is selected for publication, the artist’s name, age, and masterpiece will be featured on our website and social media pages.

– Upload any additional photos such as a photo of the artist with his or her masterpiece.

Pediatric Patient Information

Pediatric patients are ages 0 to 18 at the time they are seen at or admitted to CHRISTUS Southeast Texas St. Elizabeth or Jasper Memorial Hospital.

Artist Name*

FirstLast

Date of Birth*

Hometown*

CityState

Gender*

Male

Female

Guardian Information

Legal Guardian Name*

FirstLast

Relationship to Patient*

Phone*

Email*

Artwork

Upload Artwork*

Upload a color copy of your masterpiece! Don't forget to hold on to the original in case your work of art is chosen as a winner or finalist. You can also upload a picture of your artist creating their masterpiece and/or holding up their final work of art.

Drop files here or

Consent Form*

Upload your signed consent form to give us permission to use your artwork. Download a copy of the form using the link above or at: https://www.christussoutheasttexasfoundation.org/wp-content/uploads/2018/01/Photo-Release-Consent-Form.pdf

Experience

Would you like to share a brief story about your experience at your local Children's Miracle Network Hospital?

Sharing your experience helps us show donors and community members the impact they make on their neighbors when they support their local Children's Miracle Network Hospitals.

Yes, I'm happy to help!

No, thanks.

Which local Children's Miracle Network Hospital did you visit?*

CHRISTUS Southeast Texas St. Elizabeth

CHRISTUS Southeast Texas Jasper Memorial

Diagnosis/Reason for Visit

Date of Hospital Visit

Approximate date child was seen or admitted.

Your Experience

Your experience may be as detailed or as general as you want. Here are some questions to help you tell your story:
How did you and the patient feel before, during, and after your stay? Who were the clinical staff members who helped you? What kind of medical care did the patient receive?
What resources were you particularly thankful for during your visit? How is the patient doing now?

Pictures

We love to have a face with the name! You may also upload any images that complement your Miracle Story. You may include photos of the patient in the hospital, with clinical staff members, or even just having fun after his or her hospital visit.

Drop files here or

Extended Opportunities

Nothing is more impactful or compelling than hearing someone share their personal experience firsthand. Please check any opportunities where you would be willing to share your Miracle Story.